2022年中医内科必背 .pdf
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1、2010年中医执业医师(中医内科学)复习资料一,感冒证:1.风寒束表证:辛温解表-荆防达表汤或荆防败毒散2.风热犯表证:辛凉解表-银翘散3.暑湿伤表证:清暑祛湿解表-新加香薷饮4.气虚感冒证:益气解表-参苏饮5.阴虚感冒证:滋阴解表-加减葳蕤汤二,咳嗽证:1.风寒袭肺证:疏风散寒,宣肺止咳-三拗汤合止咳散2.风热犯表证:疏风清热,宣肺化痰-桑菊饮3.风燥伤肺证:疏风清肺,润燥止咳-桑杏汤4.痰湿蕴肺证:健脾燥湿,化痰止咳-二陈汤合三子养亲汤5.痰热郁肺证:清热肃肺,化痰止咳-清金化痰汤6.肝火犯肺证:清肺平肝,顺气降火-加减泻白散合黛蛤散7.肺阴亏耗证:滋阴润肺,止咳化痰-沙参麦冬汤三,哮证证
2、:1.发作期1)冷哮证:温肺散寒,化痰平喘-射干麻黄汤2)热哮证:清热宣肺,化痰定喘-定喘汤或越婢加半夏汤3)寒包热哮:解表散寒,清化痰热-小青龙加石膏汤或厚朴麻黄汤4)风痰啸证:祛风涤痰,降气平喘-三子养亲汤5)虚哮证:补肺纳气,降气化痰-平喘固本汤2.缓解期1)肺脾气虚证:健脾益气,补土生金-六君子汤2)肺肾两虚证:补肺益肾-生脉地黄汤合金水六君煎四,喘证:风寒壅肺证:宣肺散寒-麻黄汤合华盖散表寒肺热证:解表清里,化痰平喘-麻杏石甘汤痰热郁肺证:清热化痰,宣肺平喘-桑白皮汤痰浊阻肺证:祛痰降逆,宣肺平喘-二陈汤合三子养亲汤肺气郁痹证:开郁降气平喘-五磨饮子肺气虚耗证:补肺益气养阴-生脉散合
3、补肺汤肾虚不纳证:补肾纳气-金匮肾气丸合参蛤散正虚喘脱证:扶阳固脱,镇摄肾气-参附汤送服黑锡丹五,肺痈证:1.初期证:疏风散热,清肺化痰-银翘散2.成痈期证:清肺解毒,化瘀消痈-千金苇茎汤合如金解毒散3.溃脓期证:解毒排脓-加味桔梗汤4.恢复期证:清养补肺-沙参清肺汤或桔梗杏仁煎六,肺痨:1)肺阴亏损证:滋阴润肺-月华丸2)虚火灼肺证:滋阴降火-百合固金丸合秦艽鳖甲散3)气阴耗伤证:益气养阴-保真汤或参苓白术散4)阴阳两虚证:滋阴补阳-补天大造丸七,肺胀痰浊壅肺证:化痰降气,健脾益肺-苏子降气汤合三子养亲汤痰热郁肺证:清肺化痰,降逆平喘-越婢加半夏汤或桑白皮汤痰蒙神窍证:涤痰,开窍,熄风-涤痰
4、汤阳虚水泛证:温肾健脾,化饮利水-真武汤合五苓散肺肾气虚证:补肺纳肾,降气平喘-平喘固本汤合补肺汤八,心悸1)心虚胆怯证:镇惊定志,养心安神-安神定志丸2)心血不足证:补血养心,益气安神-归脾汤3)心阳不振证:温补心阳,安神定悸-桂甘龙牡汤合参附汤4)水饮凌心证:振奋心阳,化气利水-苓桂术甘汤5)阴虚火旺证:滋阴清火,养心安神-天王补心丹或朱砂安神丸6)瘀阻心脉证:活血化瘀,理气通络-桃仁红花煎合桂甘龙牡汤7)痰火扰心证:清热化痰,宁心安神-黄连温胆汤九,胸痹心血瘀阻证:活血化瘀,通脉止痛-血府逐瘀汤气滞心胸证:疏肝理气,活血通络-柴胡疏肝散痰浊闭阻证:通阳泄浊,豁痰宣痹-瓜蒌薤白半夏汤合涤痰
5、汤寒凝心脉证:辛温散寒,宣通心阳-枳实薤白桂枝汤合当归四逆汤气阴两虚证:益气养阴,活血通脉-生脉散合人参养荣汤心肾阴虚证:滋阴清火,养心和络-天王补心丹合炙甘草汤心肾阳虚证:温补阳气,振奋心阳-参附汤合右归饮十,不寐肝火扰心证:疏肝泻火,镇心安神-龙胆泻肝汤痰热扰心证:清化痰热,和中安神-黄连温胆汤心脾两虚证:补益心脾,养血安神-归脾汤心肾不交证:滋阴降火,交通心肾-六味地黄丸合交泰丸文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F
6、5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5
7、Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T
8、2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G
9、4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6
10、O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS
11、5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX
12、7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1心胆气虚证:益气镇惊,安神定志-安神定志丸合酸枣仁汤十一,癫狂癫证:痰气郁结证:理气解郁,化痰醒神-逍遥散合顺气导痰汤心脾两虚证:健脾益气,养心安神-养心汤合越鞠丸狂证:痰火扰神证:清心泻火,涤痰醒神-生铁落饮火盛阴伤证:育阴潜阳,交通心肾-二阴煎合琥珀养心丹痰热瘀结证:豁痰化瘀,调畅气血-癫狂梦醒汤十二,痫病风痰闭阻证:涤痰熄风,开窍定痫-定痫丸痰火扰神证:清热泻火,化痰开窍-龙胆泻肝汤合涤痰汤瘀阻脑络证:活血化瘀,熄风通络-通窍活血汤心脾两虚证:不益气血,健脾宁心-六
13、君子汤合归脾汤心肾亏虚证:补益心肾,潜阳安神-左归丸合天王补心丹十三,痴呆髓海不足:补肾益髓,填精养神-七福饮脾肾两虚:补肾健脾,益气生精-还少丹痰浊蒙窍:豁痰开窍,健脾化浊-涤痰汤瘀血内阻:活血化瘀,开窍醒脑-通窍活血汤十四,厥证1气厥1)实证证:开窍顺气开郁-通关散合五磨饮子2)虚证证:补气回阳醒神-四味回阳饮2血厥1)实证证:平肝潜阳,理气通瘀-羚角钩藤汤或通瘀煎2)虚证证:补养气血-独参汤3痰厥证:行气豁痰-导痰汤十五,胃痛寒邪客胃:温胃散寒,行气止痛-香苏散合良附丸饮食伤胃:消食导滞,和胃止痛-保和丸肝气犯胃:疏肝解郁,理气止痛-柴胡疏肝散湿热中阻:清化湿热,理气和胃-清中汤瘀血停胃
14、:化瘀通络,理气和胃-失笑散合丹参饮胃阴亏耗:养阴益胃,和中止痛-一贯煎合芍药甘草汤脾胃虚寒:温中健脾,和胃止痛-黄芪建中汤十六,痞满饮食内停证:消食和胃,行气消痞-保和丸痰湿中阻证:除湿化痰,理气和中-二陈平胃汤湿热阻胃证:清热化湿,和胃消痞-泻心汤合连朴饮文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:C
15、S5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 H
16、X7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE
17、6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码
18、:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8
19、 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4
20、ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1肝胃
21、不和证:疏肝解郁,和胃消痞-越鞠丸合枳术丸脾胃虚弱证:补气健脾,升清降浊-补中益气汤胃阴不足证:养阴益胃,调中消痞-益胃汤十七,呕吐1)外邪犯胃证:疏邪解表,化浊和中-藿香正气散2)食滞内停证:消食化滞,和胃降逆-保和丸3)痰饮内阻证:温中化饮,和胃降逆-小半夏汤合苓桂术甘汤4)肝气犯胃证:疏肝理气,和胃降逆-四七汤5)脾胃气虚证:健脾益气,和胃降逆-香砂六君子汤6)脾胃阳虚证:温中健脾,和胃降逆-理中汤7)胃阴不足证:滋养胃阴,降逆止呕-麦门冬汤十八,噎膈1)痰气交阻证:开郁化痰,润燥降气-启膈散2)津亏热结证:滋阴养血,润燥生津-沙参麦冬汤3)瘀血内结证:滋阴养血,破血行瘀-通幽汤4)气虚
22、阳微证:温补脾肾-补气运脾汤十九,呃逆1)胃中寒冷证:温中散寒,降逆止呃-丁香散2)胃火上逆证:清胃泄热,降逆止呃-竹叶石膏汤3)气机郁滞证:顺气解郁,降逆止呃-五磨饮子4)脾胃阳虚证:温补脾胃,和中降逆-理中汤5)胃阴不足证:益气养阴,和胃止呃-益胃汤和橘皮竹茹汤二十,腹痛1)寒邪内阻证:散寒温里,理气止痛-良附丸合正气天香散2)湿热壅滞证:泄热通腑,行气导滞-大承气汤3)饮食积滞证:消食导滞,理气止痛-枳实导滞丸4)肝郁气滞证:疏肝解郁,理气止痛-柴胡疏肝散5)瘀血内停证:活血化瘀,和络止痛-少腹逐瘀汤6)中虚脏寒证:温中补虚,缓急止痛-小建中汤二十一,泄泻1)寒湿内盛证:散寒化湿-藿香正
23、气散2)湿热伤中证:清热利湿-葛根芩连汤3)食滞肠胃证:消食导滞-保和丸4)肝气乘脾证:抑肝扶脾痛泻要方5)脾胃虚弱证:健脾益气,化湿止泻-参苓白术散6)肾阳虚衰证:温肾健脾,固涩止泻-四神丸二十二,痢疾1)湿热痢:清肠化湿,调气和血-芍药汤2)疫毒痢:清热解毒,凉血除积-白头翁汤合芍药汤文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE
24、6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码
25、:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8 HX7G4F5N2J4 ZE6M6O5Z9E1文档编码:CS5T2K10S1L8
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